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	<title>填写银行卡信息</title>
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	<!--header-->
	<header class="header">
		<a href="card.html" class="iconfont icon-fanhui left" style="font-size: 32px; color: white;"></a>
		<h3>填写银行卡信息</h3>
	</header>
    <!-- banner -->
    <section class="logo">
        <section class="left">
            <img src="../images/2_10.png">
        </section>
        <section class="right">
            <p>农业银行<b>储蓄卡</b></p>
            <p class="number">6228 4804 0263 0012 </p>
        </section>
    </section>
    <!-- 热卖商品 -->
    <form action="a.php" method="post" id="inps">
        <ul>
            <li>
                <label>真实姓名</label>
            </li>
            <li>
                <input type="text" placeholder="请输入持卡人姓名" required autofocus>
            </li>
        </ul>
        <ul>
            <li>
                <label>身份证号</label>
            </li>
            <li>
                <input type="text" placeholder="请输入持卡身份证号" required autofocus>
            </li>
        </ul>
        
        <ul>
            <li>
                <label>开户行省份</label>
            </li>
            <li>
                <input type="text" list="abc" autocomplete="on" placeholder="请选择"> <br/>
                <datalist id="abc">
                    <option  value="北京"></option>
                    <option  value="上海"></option>
                    <option  value="天津"></option>
                    <option  value="重庆"></option>
                    <option  value="河北"></option>
                    <option  value="山西"></option>
                    <option  value="辽宁"></option>
                    <option  value="吉林"></option>
                    <option  value="黑龙江"></option>
                    <option  value="江苏"></option>
                    <option  value="浙江"></option>
                    <option  value="安徽"></option>
                </datalist>
            </li>
        </ul>
        
        <ul>
            <li>
                <label>手机号码</label>
            </li>
            <li>
                <input type="text" placeholder="请输入银行预留手机号" required autofocus>
            </li>
        </ul>
        <p>
            <a class="iconfont icon-jiami" style="color: #00b7ee"></a>
            身份信息严格加密，仅用于银行验证
        </p>
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    </form>
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